Citizen Concern Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

This form is to allow the citizens of the City of Reno to express general concerns within the City including city streets, water leaks, fallen trees, and etc. If you have an emergency Dial 911. If you wish to report a crime you may contact Police Department Dispatch at 817-594-3213. This form is subject to the Public Information Act.

What is your concern? *

What is the location of your concern?

Would you like to be contacted by a City employee over this concern? *

Yes

Required

If you would like to be contacted regarding your concern please include your information below.

Citizen Name

Phone Number

Email Address

Acknowledgement *

I acknowledge that I am not reporting an emergency and that I know the information I provide is subject to the Public Information Act.

Required

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of City of Reno, TX. Report Abuse

Forms